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(a, c) Mediolateral oblique (MLO) and craniocaudal (CC) views of digital mammography of the left breast depicting a breast imaging-reporting and data system 5 lesion; (b, d) MLO and CC views of contrast-enhanced spectral mammography depicting the lesion with Type 2 enhancement as well as many other Type 2 enhancement lesions which do not appear in digital mammography. MPS (big arrow) = 5 + 2 = 7. Histopathology result: multifoci lobular carcinoma grade III.
